The Thoracic and cardiovascular surgeon
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Thorac Cardiovasc Surg · Dec 2007
Comparative StudyIs extreme obesity a risk factor for increased in-hospital mortality and postoperative morbidity after cardiac surgery? Results of 2251 obese patients with BMI of 30 to 50.
The number of patients with extreme obesity requiring cardiac surgery is increasing. The aim of the present study was to evaluate the perioperative outcome, complication rate and 30-day mortality of these patients. ⋯ Severe obesity does not PER SE enhance perioperative mortality. A BMI of 30 to 50 combined with diabetes mellitus and bilateral ITA grafting increases the risk for sternal complications.
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Thorac Cardiovasc Surg · Dec 2007
Comparative StudyImpact on pulmonary function after lobectomy in patients with chronic obstructive pulmonary disease.
The purpose of this study was to evaluate the operative outcome and pulmonary function after lobectomy; this included systematic mediastinal and hilar lymph node dissection for primary non-small cell lung cancer or pulmonary metastases of extrapulmonary origin in patients with chronic obstructive pulmonary disease (COPD) and a preoperative FEV (1) of less than 1.5 l (< 80 % of predicted value) and FEV (1)/FVC < 70 % (COPD II degrees ). ⋯ It appears that surgical resection of malignant lung tumours by lobectomy can also be performed successfully in selected patients with low FEV (1) and COPD II degrees without significant loss of pulmonary function.
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Thorac Cardiovasc Surg · Dec 2007
Operative indications for lung cancer with idiopathic pulmonary fibrosis.
Idiopathic pulmonary fibrosis (IPF) is well known to be associated with lung cancer. However, surgical morbidity and mortality in lung cancer patients with IPF remains unclear. ⋯ Lung cancer patients with IPF who have a low preoperative %FVC should be carefully assessed prior to any surgical intervention.